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Get Cash Assistance Indiana Form

Copy of the "Notice Regarding Rights and Responsibilities" and I understand all information included on this form. To be considered for Expedited SNAP service, your household must have less than $150 in monthly gross income and have $100 or less in cash; or be a seasonal/migrant farm worker with $100 or less in available cash; or have a combined cash and monthly gross income amount less than the household monthly rent/mortgage and utility expenses. I certify under penalty of perjury, all inf.

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